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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2024, Number 3

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Rev Mex Urol 2024; 84 (3)

Chronic testicular ischemia: MRI findings

Torre-Figueroa G, Gutiérrez PA, Ocantos JA
Full text How to cite this article

Language: Spanish
References: 4
Page: 1-7
PDF size: 436.26 Kb.


Key words:

testis, isquemia, magnetic resonance imaging.

ABSTRACT

18-year-old male patient with a history of myelomeningocele consulted for an MRI due to chronic scrotal pain with an ulceration in the right scrotum. MRI demonstrates there was an absence of contrast uptake and a whirlpool sign meaning that the right testicle was not viable and orchiectomy was performed. Although doppler ultrasound is the gold standard for diagnosing testicular torsion, in case of diagnostic doubt it is appropriate to perform an MRI in order to preserve testicular vitality and avoid unnecessary orchiectomies.


REFERENCES

  1. Karaguzel E, Kadihasanoglu M, Kutlu O.Mechanisms of testicular torsion and potentialprotective agents. Nature Reviews Urology. 2014;11(7): 391–400.

  2. Wang F, Mo Z. Clinical evaluation of testiculartorsion presenting with acute abdominal painin young males. Asian Journal of Urology.2019;6(4): 368–372. https://doi.org/10.1016/j.ajur.2018.05.009

  3. Cassar S, Bhatt S, Paltiel HJ, Dogra VS. Role ofSpectral Doppler Sonography in the Evaluation ofPartial Testicular Torsion. Journal of Ultrasoundin Medicine. 2008;27(11): 1629–1638. https://doi.org/10.7863/jum.2008.27.11.1629.

  4. Avery LL, Scheinfeld MH. Imaging of Penileand Scrotal Emergencies. RadioGraphics.2013;33(3): 721–740. https://doi.org/10.1148/rg.333125158.




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Rev Mex Urol. 2024;84